Individual
JESSICA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2705 N HIATUS RD, HOLLYWOOD, FL 33026-1305
(954) 649-9622
Mailing address
1520 SW 159TH AVE, PEMBROKE PINES, FL 33027-2360
(954) 328-3939
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19258
FL
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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